Development and Validation of a Sputum Biomarker mRNA Panel for the Diagnostic Work-up of Asthma 1.

NCT ID: NCT01224938

Last Updated: 2018-07-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

395 participants

Study Classification

OBSERVATIONAL

Study Start Date

2010-10-31

Study Completion Date

2013-09-30

Brief Summary

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The main objectives of the study are

1. to study the different T cell subtypes (Th1, Th2, Th17 and Treg) in the lower airways of healthy subjects and clinically different asthma patients, based on a non-invasive procedure of sputum induction. Patients will be different in function of age, in relation to the trigger (eg aspirin, without or with association with polyposis), without or with underlying atopic sensitization or different in the type of underlying inflammation (eosinophilic vs neutrophilic). This T cell pattern will become the basis of molecular phenotyping in the patients.
2. to study the usefulness of asthma molecular phenotyping (by following the balance between the inflammatory markers on the one hand and the regulatory markers on the other hand) in asthma guidance (longitudinally).

The final goal of this project is then to develop a sputum non-invasive biomarker array that can be used to distinguish the different inflammatory asthma phenotypes and that can predict steroid resistance and/or sensitivity to other anti-inflammatory medication, using a non-invasive technique that can be used also at young age and repetitively.

Detailed Description

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Conditions

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Asthma Patients Healthy Subjects

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Asthma patients

Asthmatics of all classes of severity will be included.

No interventions assigned to this group

Healthy control population

A healthy control population will be included to compare with the asthmatics.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* asthma diagnosis

Exclusion Criteria

* viral/bacterial/fungal infection with fever (\<1 month )
* other airway diseases (CF, ciliar dyskinesia, bronchiectasis)
* asthma exacerbation (\<3 months)
Minimum Eligible Age

6 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Universitaire Ziekenhuizen KU Leuven

OTHER

Sponsor Role lead

Responsible Party

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Dominque Bullens

prof. dr.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Dominique MA Bullens, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Lab of clinical immunology, O&N I Herestraat 49 - bus 811, 3000 Leuven, Belgiƫ

Sven F Seys, MSc

Role: STUDY_DIRECTOR

Lab of clinical immunology, O&N I Herestraat 49 - bus 811, 3000 Leuven, Belgiƫ

Locations

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University Hospital of Leuven

Leuven, Vlaams-Brabant, Belgium

Site Status

Countries

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Belgium

References

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Bullens DM, Decraene A, Dilissen E, Meyts I, De Boeck K, Dupont LJ, Ceuppens JL. Type III IFN-lambda mRNA expression in sputum of adult and school-aged asthmatics. Clin Exp Allergy. 2008 Sep;38(9):1459-67. doi: 10.1111/j.1365-2222.2008.03045.x. Epub 2008 Jun 28.

Reference Type BACKGROUND
PMID: 18564328 (View on PubMed)

Bullens DM. Measuring T cell cytokines in allergic upper and lower airway inflammation: can we move to the clinic? Inflamm Allergy Drug Targets. 2007 Jun;6(2):81-90. doi: 10.2174/187152807780832210.

Reference Type BACKGROUND
PMID: 17692031 (View on PubMed)

Bullens DM, Truyen E, Coteur L, Dilissen E, Hellings PW, Dupont LJ, Ceuppens JL. IL-17 mRNA in sputum of asthmatic patients: linking T cell driven inflammation and granulocytic influx? Respir Res. 2006 Nov 3;7(1):135. doi: 10.1186/1465-9921-7-135.

Reference Type BACKGROUND
PMID: 17083726 (View on PubMed)

Truyen E, Coteur L, Dilissen E, Overbergh L, Dupont LJ, Ceuppens JL, Bullens DM. Evaluation of airway inflammation by quantitative Th1/Th2 cytokine mRNA measurement in sputum of asthma patients. Thorax. 2006 Mar;61(3):202-8. doi: 10.1136/thx.2005.052399. Epub 2006 Jan 31.

Reference Type BACKGROUND
PMID: 16449261 (View on PubMed)

Seys SF, Scheers H, Van den Brande P, Marijsse G, Dilissen E, Van Den Bergh A, Goeminne PC, Hellings PW, Ceuppens JL, Dupont LJ, Bullens DM. Cluster analysis of sputum cytokine-high profiles reveals diversity in T(h)2-high asthma patients. Respir Res. 2017 Feb 23;18(1):39. doi: 10.1186/s12931-017-0524-y.

Reference Type RESULT
PMID: 28231834 (View on PubMed)

Goossens J, Jonckheere AC, De Boodt S, Dilissen E, Marain N, Decaesteker T, Cortes A, Vanoirbeek JA, Seys SF, Dupont L, Bullens DMA. Sputum Transcriptomic Analysis and Clustering Reveals Insight Into Asthma Heterogeneity. Lung. 2025 Aug 20;203(1):89. doi: 10.1007/s00408-025-00843-1.

Reference Type DERIVED
PMID: 40830242 (View on PubMed)

Other Identifiers

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Biomarker sputum airway study1

Identifier Type: -

Identifier Source: org_study_id

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